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Removal Of A Kidney Drainage Tube, With X-ray Guidance

South Dakota rates for HCPCS 50389

A tube that was placed through the skin directly into the kidney to drain urine is removed, using live X-ray imaging to guide the process and confirm it comes out safely. This is used when a temporary kidney drainage tube is no longer needed.

Rates data updated July 2026.

How much does Removal Of A Kidney Drainage Tube, With X-ray Guidance cost?

$794

Typical total for the visit. In South Dakota, July 2026.

Insurers have agreed to pay about $794 for this procedure. That total is two separate charges: $148 to the doctor who performs it, and $646 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 7 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$148$57.54 to $513
Facility feeThe hospital or surgery center$646$646 to $646

How much rates vary

Facilitymedian $646 · 10th to 90th $132 to $2,291Professionalmedian $148 · 10th to 90th $50 to $851
$50$100$200$500$1K$2Kfacility $646professional $148

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$645.65
Typical High
$2,290.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$57.54
Typical High
$426.58
Cigna
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$758.58
Typical High
$1,202.26
Medica
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$524.81
Typical High
$1,000.00
Medica
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$602.56
Typical High
$3,019.95
Midlands
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$128.82
Typical High
$851.14
Midlands
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$112.20
Typical High
$776.25
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$501.19
Typical High
$758.58
United
Setting
Facility
Modifier
Global
Typical Low
$1,659.59
Median
$1,659.59
Typical High
$1,659.59
United
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$151.36
Typical High
$954.99
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$112.20
Typical High
$977.24

Where South Dakota sits

The same service costs 11.5 times more in New Jersey than in West Virginia. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Physician feeFacility fee

South Dakota· 45th of 49

$794

$148 physician + $646 facility

NJ $5,110WV $443

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.